Medication Reconciliation: Getting Started with IT

At Myrtue Medical Center (MMC), a 25-bed critical access hospital (CAH) in Harlan, Iowa. the quality improvement team had been contemplating how information technology could help the hospital deliver improved care to its patients. Even though the government’s electronic health records (EHR) incentive program had not yet been unveiled back in 2007, Myrtue’s Quality Improvement Team recognized the value of electronic health records that included advanced functionality such as computerized provider order entry.

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Malpractice Claims Analysis Confirms Risks in EHRs

Technological advancements often present new hazards even as they solve existing problems; electronic health records (EHRs) are no exception to that rule. CRICO—the medical malpractice insurer for the Harvard medical community and a leading patient safety resource—has expanded its coding system to capture information about incidents related to the use of EHRs. In this article, CRICO shares what it is learning about how to avoid the downside of information technology.

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Disclosure, Apology, and Resolution—No Turning Back Now

Rick Boothman has been thinking about when he knew that the University of Michigan Health System, where he is executive director of clinical safety, had reached the “point of no return” about openly discussing preventable harm with patients. In his keynote to the MITSS Annual Dinner in November, Boothman explained that he had been struck by something he heard during a meeting in Washington, which led him to reflect on Michigan’s commitment to this approach.

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Innovative System Ensures Reliable Care for Patients at Risk of Pressure Ulcers

Despite known and effective methods for identifying risk and preventing hospital-acquired pressure ulcers, pressure ulcers remain the most prevalent preventable hospital-acquired condition. Turning patients at certain intervals is a proven approach to preventing HAPUs, but this routine task is often delayed or skipped when nurses are drawn unexpectedly into demanding or emergent situations.

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